• Archives of Plastic Surgery
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• v.44 no.1
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• pp.76-79
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• 2017

Necrotizing fasciitis (NF) is an aggressive soft-tissue infection involving the deep fascia and is characterized by extensive deterioration of the surrounding tissue. Immediate diagnosis and intensive treatment, including debridement and systemic antibiotics, represent the most important factors influencing the survival of NF patients. In this report, we present a case of NF in the abdomen due to an infection caused by a perforated small bowel after abdominal liposuction. It was successfully treated using negative-pressure wound therapy, in which a silicone sheet functioned as a barrier between the sponge and internal organs to protect the small bowel.

• Biotechnology and Bioprocess Engineering:BBE
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• v.11 no.4
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• pp.288-292
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• 2006

Through statistically designed experiments, lysis agents were optimized to effectively disrupt bacterial cells in a microfluidic device. Most surfactants caused the efficient lysis of Gram-positive microbes, but not of Gram-negative bacteria. A Plackett-Burman design was used to select the components that increase the efficiency of the lysis of the Gram-negative bacteria Escherichia coli. Using this experimental design, both lysozyme and benzalkonium chloride were shown to significantly increase the cell lysis efficiency, and ATP was extracted in proportion to the lysis efficiency. Benzalkonium chloride affected the cell membrane physically, while lysozyme destroyed the cell wall, and the amount of ATP extracted increased through the synergistic interaction of these two components. The two-factor response-surface design method was used to determine the optimum concentrations of lysozyme and benzalkonium chloride, which were found to be 202 and 99 ppm, respectively. The lysis effect was further verified by microscopic observations in the microchannels. These results indicate that Gram-negative cells can be lysed efficiently in a microfluidic device, thereby allowing the rapid detection of bacterial cells using a bioluminescence-based assay of the released ATP.

• International Journal of Vascular Biomedical Engineering
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• v.1 no.1
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• pp.13-23
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• 2003

Backgrounds: The present study in angulated coronary stenosis was to evaluate the influence of velocity and wall shear stress (WSS) on coronary atherosclerosis, the changes of hemodynamic indices following coronary stenting, as well as their effect of evolving in-stent restenosis using human in vivo hemodynamic parameters and computed simulation quantitatively and qualitatively. Methods: Initial and follow-up coronary angiographies in the patients with angulated coronary stenosis were performed (n=80). Optimal coronary stenting in angulated coronary stenosis had two models: < 50 % angle changed(model 1, n=43), > 50% angle changed group (model 2, n=37) according to percent change of vascular angle between pre- and post-intracoronary stenting. Flow-velocity wave obtained from in vivo intracoronary Doppler study data was used for in vitro numerical simulation. Spatial and temporal patterns of velocity vector and recirculation area were drawn throughout the selected segment of coronary models. WSS of pre/post-intracoronary stenting were calculated from three-dimensional computer simulation. Results: Follow-up coronary angiogram demonstrated significant difference in the percent of diameter stenosis between two groups (group 1: $40.3{\pm}30.2$ vs. group 2: $25.5{\pm}22.5%$, p<0.05). Negative WSS area on 3D simulation, which is consistent with re-circulation area of velocity vector, was noted on the inner wall of post-stenotic area before stenting. The negative WSS was disappeared after stenting. High spatial and temporal WSS before stenting fell into within physiologic WSS after stenting. This finding was prominent in Model 2 (p<0.01) Conclusions: The present study suggests that hemodynamic forces exerted by pulsatile coronary circulation termed as WSS might affect on the evolution of atherosclerosis within the angulated vascular curvature. Moreover, geometric change, such as angular difference between pre / post-intracoronary stenting might give proper information of optimal hemodynamic charateristics for vascular repair after stenting.

• Journal of Biomedical Engineering Research
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• v.23 no.6
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• pp.437-449
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• 2002

Coronary arteries are subjected to very different flow conditions compared to other arteries in systemic blood circulation. We Performed a computational fluid dynamic research to investigate influence of such flow conditions in coronary arteries on development and progress of atherosclerosis in the same. The results showed big differences in the flow field of the coronary artery compared to the abdominal and femoral arteries. The coronary artery showed higher wall shear stresses due to the small vessel diameter. On the other hand, it showed only one vortex distal to the stenosis throat during a whole pulse cycle. However. several vortices were observed in the abdominal and femoral arteries in both proximal and distal sides of the stenosis throat The wall shear stresses and extent of recirculation area were increased with impedance phase angle increasing toward more negative values. Therefore, cardiac contraction and the negative impedance phase angle as large as -110。 may induce a flow field that accelerates atherosclerosis.

• Journal of the Korean Society for Advanced Composite Structures
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• v.6 no.2
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• pp.52-62
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• 2015

This study aims at developing a new seismic resistant method by using precast concrete wall panels for existing low-rise, reinforced concrete beam-column buildings such as school buildings. Three quasi-static hysteresis loading tests were performed on one unreinforced beam-column specimen and two reinforced specimens with U-type precast wall panels. Top shear connection of the PC panel was required to show the composite strength of RC column and PC wall panel. However, the strength of the connection did not influence directly on the ultimate loading capacities of the specimens in the positive loading because the loaded RC column push the side of PC wall panel and it moved horizontally before the shear connector receive the concentrated shear force in the positive loading process. Under the positive loading sequence(push loading), the reinforced concrete column and PC panel showed flexural strength which is larger than 97% of the composite section because of the rigid binding at the top of precast panel. Similar load-deformation relationship and ultimated horizontal load capacities were shown in the test of PR1-LA and PR1-LP specimens because they have same section dimension and detail at the flexural critical section. An average of 4.7 times increase in the positive maximum loading(average 967kN) and 2.7 times increase in the negative maximum loading(average 592.5kN) had resulted from the test of seismic resistant specimens with anchored and welded steel plate connections than that of unreinforced beam-column specimen. The maximum drift ratios were also shown between 1.0% and 1.4%.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.48 no.3
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• pp.149-154
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• 2022

Objectives: To measure tympanic bone thickness (anterior-superior, anterior-inferior, and inferior wall), external ear canal length, and tympanomandibular distance that can be useful in cases that undergo tympanic bone resection. Materials and Methods: The temporal computed tomography (CT) images of 349 patients were retrospectively evaluated. The anterior-inferior, anterior-superior, and inferior wall thicknesses; tympanomandibular distance; and external auditory canal (EAC) bone canal length were measured from the narrowest part of the canal. The shapes of the EAC in the coronal and sagittal planes were also examined. Results: The numbers of female and male patients were similar, and the mean age was 49.45±13.95 years. The anterior-superior, anterior-inferior, and inferior wall thicknesses were 1.92±0.60, 2.54±0.74, and 9.16±2.20 mm, respectively. The anterior-superior and anterior-inferior wall thicknesses and canal lengths were greater on the right side (P<0.001). All measurement values were higher in males, except right tympanomandibular distance (P<0.05). A non-significant negative correlation was found between the age of the participants and the left anterior-inferior wall and tympanomandibular distance on both sides. Intra-observer agreement was high for all measurements. We observed four main shapes in the external ear canal in the coronal plane: Type 3, Type 2, Type 1, and Type 4 in order of frequency on the right, and Type 2, Type 3, Type 1, and Type 4 on the left. In the sagittal plane, we detected three shapes: oval (74.4%), triangular (16.3%), and round (9.4%). Conclusion: The anterior wall thicknesses and tympanomandibular distance should be measured on preoperative temporal bone CT to safely perform tympanic bone anterior resection, which is required in some otological procedures, and also to prevent temporomandibular joint damage.

• Journal of the Korea Concrete Institute
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• v.25 no.3
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• pp.271-281
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• 2013

The current seismic design code prescribes that a structural wall should be designed as a special shear wall when the building height is more than 60 m and its seismic design category is classified as D. However, the use of a special shear wall has a negative effect on constructability and economic efficiency. In the present study, the seismic performance of a special shear wall and a special shear wall with relaxed reinforcement detail was evaluated through a cyclic reversal loading test. The specimens were constructed to measure the results of the experimental variable regarding the reinforcement details of the special boundary element. Next, the seismic performances of a special shear wall structural system and that of a special shear wall structural system with relaxed reinforcement detail was evaluated by methods proposed in the FEMA P695. The cyclic reversal loading test results of this study showed that the performance of the shear wall with relaxed reinforcement detail was almost similar to the performance of a special shear wall and has the performance which requested from standard. The results of the seismic evaluation showed that all special shear walls with relaxed reinforcement detail are satisfied with the design code and seismic performance.

• The KSFM Journal of Fluid Machinery
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• v.11 no.1
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• pp.26-32
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• 2008

The safe operation of high pressure pipe line systems is of significant importance. Leaks due to faulty operation from the pipelines can lead to considerable product losses and to exposure of community to dangerous gases. There are several leak detection methods of pipeline network which have recently been suggested. The negative pressure wave detection technology, which has advantages of short time detection availability, accurate leaking location estimate capability and cost effective, is concentrated in this study. Theoretical analysis of the flow characteristics for leaking through a hole on the pipe wall has been performed by using Fluent 6.3, commercial CFD package. The results of 3-dimensional analysis near leaking hole confirm the occurrence of negative pressure wave, and the results of 2-dimensional analysis verify the characteristics of propagation of the wave which travels with speed equal to the speed of sound in the pipeline contents. Characteristics of leakage and pressure in a pipe with a hole have been analyzed for the various pipe and hole sizes.

• Journal of Korean Foot and Ankle Society
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• v.8 no.1
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• pp.26-30
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• 2004

Purpose: The infected diabetic foot patients were reviewed to analyze the result of new dressing methods using a wall-suction instruments. Materials and Methods: Eighteen patients treated with wall-suction assisted vacuum dressing were included. After debridement under local anesthesia, a sponge pad, a drain, and a surgical drape were used to seal the wound. Negative pressure applied by the wall-suction at around 200 mmHg and dressing were repeated in every two to three days. The results of repeated wound cultures, growth of granulation tissues, and CRP level were closely observed on the regular basis. Results: Rapid growth of granulation tissues was noticed around the wound in 16 cases. No organism was obtained in an average 5 days and wound coverage was possible in an average 18 days. The CRP level returned to normal in an average 4 weeks. Two patients with end stage renal disease, who were regularly hemodialised, underwent major amputation. Conclusion: New dressing method has the following advantages: a rapid wound improvement in the patients with infected diabetic foot, less expensive, less painful, impediment of bacterial contamination in the hospital room. However, further study will be needed for the end stage renal disease patients.

• Proceedings of the Korean Institute Of Construction Engineering and Management
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• 2008.11a
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• pp.694-697
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• 2008

A retaining wall system suitable for a construction project is selected on the basis of subsoil conditions. If the decision-maker selects an improper system, it has a negative effect on the cost and schedule of the construction project. There have been many studies related to the models and processes for selecting optimal retaining wall systems. However, engineers who are not familiar with formal analysis methods could not easily utilize the formal methods proposed by previous studies. In order to overcome this problem, we developed a web-based decision support system called Dr. Underground, which is both physically and technically easily accessible by engineers. Dr. Underground was developed based on a selection method developed from a precedent research project. It was developed using a server-side web language ASP.NET and MS Access as a database. Decision-makers can input data about the building's condition, construction site conditions and adjacent site conditions in this system. Based on the input data, Dr. Underground recommends an optimal retaining wall system for the inputted conditions and provides detail information on the system.